Organization
LAUREL EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS D NICHAMIN MD (MANAGING PARTNER)
(814) 849-8344
Entity
Organization
Contact information
Practice address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Mailing address
50 WATERFORD PIKE, BROOKVILLE, PA 15825-2518
(814) 849-8344
(814) 849-7130
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF3515
RAILROAD MEDICARE
—
Enumeration date
11/08/2006
Last updated
06/02/2009
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